Healthcare Provider Details

I. General information

NPI: 1700202678
Provider Name (Legal Business Name): HORIZON SURGICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2014
Last Update Date: 03/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1529 E PALMDALE BLVD SUITE 207
PALMDALE CA
93550-2034
US

IV. Provider business mailing address

9461 CHARLEVILLE BLVD SUITE 479
BEVERLY HILLS CA
90212-3017
US

V. Phone/Fax

Practice location:
  • Phone: 661-267-1900
  • Fax: 661-267-0700
Mailing address:
  • Phone: 424-279-9481
  • Fax: 424-279-9482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MAUREEN JAROSCAK
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 424-279-9481